WQ0040995_Application (FTSE)_20190809

Central Files: APS SWID
7/8/2019
Permit Number W00040995 Permit Tracking Slip
Program Category Status Project Type
Non -discharge In review New Project
Permit Type Version Permit Classification
Gravity Sewer Extension, Pump Stations, & Pressure Sewer Extensions
A Individual
Primary Reviewer
Permit Contact Affiliation
dean.hunkele
Coastal SWRule
Permitted Flow
0
Facility
Facility Name
majoriminor Region
NE Brunswick VVestem Force Main Improvements
Minor Wilmington
County
Location Address
Brunswick
50.=
Requested /Received Events

4-
T
E N' G I N E E R S
S U R V E Y 0 R S
P i A N N E R S
RE: Northeast Brunswick Regional Force Main Off -Site Transmission
Improvements
Sewer Extension Permit Application
On behalf of Brunswick County Public Utilities, we are pleased to submit this
permit application for the referenced project, which includes the installation of
approximately 14,885 linear feet of 16-inch force main to parallel the existing
force main and. provide future capacity at the Northeast Brunswick Regional
WWTP. Please find enclosed the following documentation:
a One (1) original and One (1) copy of application form
0 Two (2) copies of 8.5 x 11 color USGS Topographic map
a Two (2) copies of 8.5 x 11. street map
® $480 check (permit fee)
® One (1) copy of existing flow reduction letter
Please note that this is an application for a zero flow permit, therefore, an FTSE
form has not been submitted. Please let me know if you have questions or would
like to discuss. Thanks for your assistance on this project.
Sincerely,
McKIM & CREED, INC.
243 North Front Street
Wilmington, NC 28401 Sean Kenyon, I
910.343.10418
Fax 9A0.251.8282 cc: Brent Lockamy, Brunswick County
www.mckimcreed.com

State of North Carolina
Department of Environmental Quality
Division of Water Resources
R
15A NCAC 02T.0300 — FAST TRACK SEWER SYSTEM EXTENSION APPLICATION
Division of Water Resources FTA 04-16 & SUPPORTING DOCUMENTATION
-S
Application Number: "
(to be completed by DWR)
All items must be completed or the application will be returned
I. Applicant's name: Brunswick County Public Utilities (company, municipality, FICA, utility, etc.)
2. Applicant type: ❑ Individual ❑ Corporation n General Partnership El Privately -Owned Public Utility
❑ Federal State/County n Municipal El Other
3. Signature authority's name: John Nichols per 15A NCAC 021f .010,6`b)L_
Title: Director of Public Utilities
4. Applicant's mailing address: 250 Greywater Rd
City: Supply State: NC Zip: 28462 -
5. Applicant's contact information:
Phone number: [phone] Email Address: jqhnmchqIsf& hrunswickqoqntync.
1. Project name: Northeast Brunswick Regional Forcemain Off -Site Transmission Improvements - Contract I - West
2. Application/Project status: M Proposed (New Permit) R Existing Permit/Project
If a modification, provide the existing permit number: WQ00_ and issued date:
If new construction but part of a master plan, provide the existing permit number: WQOO
3. County where project is located: Brunswick
4. Approximate Coordinates (Decimal Degrees): Latitude: 34.27073' Longitude: -78.00203'
5. Parcel ID (if applicable): N/A
(or Parcel ID to closest downstream sewer)
I . Professional Engineer: Anthony W. Boahn PE License Number: 025512
Firm: McKim & Creed Inc.
Mailing address: 243 N. Front St.
City: Wilmington State: NC Zip: 28401
Phone number: [phone] Email Address: tboabn@.mckimcreed.com
1. Facility Name: Northeast Brunswick RegiQnql_W)KTP Permit Number: NC0086819
Owner Name: Brunswick County Public Utilities
',Jill 111, 111, ",1 111 1
I . Permit Number(s): WQ____ Downstream (Receiving) Sewer Size: __ inch
System Wide Collection System Permit Numbers) 0 f ficab4e : WQCS
Owner Name(s):
FORM: FTA 04-16 Page 1 of 5

L If the Applicant is a Privately -Owned Public Utility, has a Certificate of Public Convenience and Necessity been attached?
F_1Yes F_1No ZN/A
2. If the Applicant is a Developer of lots to be sold, has a Developers Operational Agreement (FORM: DE'.1", been attached?
RYes RNo ®N/A
3. If the Applicant is a Home/Property Owners' Association, has an Operational Agreennent CFOR',V1. HOA ) been attached?
F-1 Yes FINo ®N/A
4. Origin of wastewater: (check all that apply):
❑ Residential Owned F-1 Retail (stores, centers, malls) 0 Car Wash
❑ Residential Leased El Retail with food preparation/service El Hotel and/or Motels
❑ School / preschool / day care El Medical / dental / veterinary facilities El Swimming Pool /Clubhouse
❑ Food and drink facilities R Church El Swimming Pool/Filter Backwash
El Businesses / offices / factories R Nursing Home El Other (Explain in Attachment)
5. Nature of wastewater: % Domestic/Commercial % Commercial
%Industrial (See 15A NCAC 02T.0 103(20))
L------> Is there a Pretreatment Program in effect? R Yes R No
6. Hasa flow reduction been approved under 15A NCAC 02T.01 1401 ? MYes RNo
> If Mesa provide _ag_iot
a of flow reduction aDuroval letter
7. Summarize wastewater generated by project:
Establishment Type (see 22T.01 14 f)) Daily Design FIOW a,
L l I lNo. of UnitsFlowl
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
gal/
GPD
Total
GPD I
a See 15A NCAC 02T .0 1 14(b), (d), (e)( 1) and (e)(2A for caveats to wastewater design flow rates (i.e., minimum flow per
dwelling; proposed unknown non-residential development uses; public access facilities located near high public use areas;
and residential property located south or east of the Atlantic Intracoastal Waterway to be used as vacation rentals as defined
in G.S. 42A-4).
b Per 15A NCAC 02T .0 1 14(c), design flow rates for establishments not identified [in table J. 5A NCAC .02T...O. 1. 14] shall be
determined using available flow data, water using fixtures, occupancy or operation patterns, and other measured data.
& Wastewater generated by project: 0 GPD (per 15A NCAC 02T.0 114)
> Do not include future flows or previously permitted allocations
If permitted flow is zero, indicate why:
F-1 Pump Station or Gravity Sewer where flow will be permitted in subsequent pen -nits that connect to this line
F] Flow has already been allocated in Permit Number:
El Rehabilitation or replacement of existing sewer with no new flow expected
Z Other (Explain): Parallelism of existing force main to decrease pressure on the existing system
FORM: FTA 04-16 Page 2 of 5

VII. GRAVITY SEWER DESIGN CRITERIA (If Applicable) - 02T.0305 & MD (Gravity Sewers)
1. Summarize gravity sewer to be permitted:
Size (inches)
Length (feet)
Material
16
13720
PVC - C905
16
845
FPVC - C905
16
320
DIP - Cl I I
> Section 11 & III of the MDC for Permitting of Gravity Sewers contains information related to design criteria
> Section III contains information related to minimum slopes for gravity sewer(s)
> Oversizing lines to meet minimum slope requirement is not allowed and a violation of the MDC
Vill. PUMP STATION DESIGN CRITERIA (if Applicable) —_02_T.0305 & L01DC f, ugyStationslForce Mains
,P p_
1. Pump station number or name: N/A
2. Approximate Coordinates (Decimal Degrees): Latitude: . o Longitude: -
3. Design flow of the pump station: millions gallons per day (firm capacity)
4. Operational point(s) of the pump(s): — gallons per minute at feet total dynamic head (TDH)
5. Summarize the force main to be permitted (for this Pump Station):
Size (inches) I Length (feet) Material
6. Power reliability in accordance with 15A NCAC 02T .03 )05(h)(1):
. . .......... . .
F-1 Standby power source or pump with automatic activation and telemetry - 15A NCAC 02T .0305(h)(I)(B),
> Required for all pump stations with an average daily flow greater than or equal to 15,000 gallons per day
> Must be permanent to facility
Or if the pump station has an average daily flow less than 15,000 gallons per day:
M Portable power source with manual activation, quick -connection receptacle and telemetry - 15A NCAC 02T
.0305(h)(I)(C)
Ki
❑ Portable pumping unit with plugged emergency pump connection and telemetry - 15A NCAC 02T.0305(h)(1)(C):
It shall be demonstrated to the Division that the portable source is owned or contracted by the applicant (draft agreement)
and is compatible with the station.
> If the portable power source or pump is dedicated to multiple pump stations, an evaluation of all the pump stations' storage
capacities and the rotation schedule of the portable power source or pump, including travel timeframes, shall be provided
in the case of a multiple station power outage.
FORM: FTA 04-16 Page 3 of 5

Ix. SETBACKS & SEPARATIONS — (02B.0200 & 15A NCAC 02T.0305(f)).-
1. Does the project comply with all separations found in 15A NCAC 02T_0�305 i
> 15A NCAC 02T.0305(D contains minimum separations that shall be provided for sewer systems:
[@�Nlo
Setback Parameter*
SeparatiorjRe wired
Storm sewers and other utilities not listed below (vertical)
24 inches
Water mains (vertical -water over sewer including in benched. trenches)
18 inches
Water mains (horizontal)
10 feet
Reclaimed water lines (vertical - reclaimed over sewer)
18 inches
Reclaimed water lines (horizontal - reclaimed over sewer)
2 feet
"Any private or public water supply source, including any wells, WS-I waters of Class I or
Class 11 impounded reservoirs used as a source of drinking water
100 feet
"Waters classified WS (except WS-1 or WS-V), B, SA, ORW, HQW, or SB from normal
high water or tide elevation) and wetlands (see item IX.2)
50 feet
"Any other stream, lake, impoundment, or ground water lowering and surface drainage
ditches
10 feet
Any building foundation
5 feet
Any basement
10 feet
To slope of embankment or cuts of 2 feet or more vertical height
10 feet
Drainage systems and interceptor drains
5 feet
Any swimming pools
10 feet
Final earth grade (vertical)
36 inches
15A NCAC 02T.0305(g) contains alternatives where separations in 02T.03 305(f> cannot be achieved.
> "Stream classifications can be identified using the Division's NC Surface Water Classifications we'rspagg
> If noncompliance with 02T.03050) or (2). see Section X of this application
2. Does the project comply with separation requirements for wetlands? (50 feet of separation) N Yes [:]No [:1 N/A
> See the Division's draft separation requirements for situations where separation cannot be meet
> No variance is required if the alternative design criteria specified is utilized in design and construction
> As built documents should reference the location of areas effected
3. Does the project comply with setbacks found in the river basin rules per ' 15A NCAC 02B.0200? E Yes 0 No E] N/A
> This would include Trout Buffered Streams per 15A NCAC 28,02202
4. Does the project require coverage/authorization under a 404 Nationwide or Yes [:]No
individual permits or 401 Water Quality Certifications?
)> Information can be obtained from the 401 & Buffer Permitt;nty Branch
5. Does project comply with 15A NCAC 02T.0 i 05�,V6) (additional pen-nits/certifications)? ® Yes [:]No
Per 15A NCAC 02T.0 1 05(c)(6), directly related environmental permits or certification applications are being prepared, have
been applied for, or have been obtained. Issuance of this permit is contingent on issuance of dependent pen -nits (erosion and
sedimentation control plans, stormwater management plans, etc.).
6. Does this project include any sewer collection lines that are deemed "high -priority?"
Per 15A NCAC 02T.0402, "high -priority sewer" means "any aerial sewer, sewer contacting surface waters, siphon, or sewer
positioned parallel to streambanks that is subject to erosion that undermines or deteriorates the sewer.
F-1 Yes E No n N/A
> If yes, include an attachment with details for each line, including type (aerial line, size, material, and location).
FORM: FTA 04-16 Page 4 of 5

1. Does the submitted system comply with 15A NCAC 02T, the Minimum Design Criteria for the Permitting of Pimm Stations
and Force Mains (latest version), and the Gravity Sewer Minimum Design Criteria (latest version) as applicable?
11
(Professional Engineer's name from
e-9
attest that this application for
Item 111. 1.)
has been reviewed by me and is accurate, complete and consistent with the information supplied in the plans, specifications,
engineering calculations, and all other supporting documentation to the best of my knowledge. I further attest that to the best
of my knowledge the proposed design has been prepared in accordance with the applicable regulations, Gravity Sewer
Minimum Design Criteria for Gravity Sewers (latest version), and the Minimum Design Criteria for the Fast -Track Permitting
of Pump Stations and Force Mains (latest version). Although other professionals may have developed certain portions of this
submittal package, inclusion of these materials under my signature and sea]. signifies that I have reviewed this material and
have judged it to be consistent with the proposed design.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $10,000, as well as civil penalties up to $25,000 per violation. - -1.
John Nichols Director Brunswick County Public Utilities attest that this application for
(Signature Authority's name & title from Application Item 1.3.)
has been reviewed by me and is accurate and complete to the best of my knowledge. I understand that if all required parts of
this application are not completed and that if all required supporting documentation and attachments are not included, this
application package is subject to being returned as incomplete. I understand that any discharge of wastewater from this non -
discharge system to surface waters or the land will result in an immediate enforcement action that may include civil penalties,
injunctive relief, and/or criminal prosecution. I will make no claim against the Division of Water Resources should a condition
of this permit be violated. I also understand that if all required parts of this application package are not completed and that if
all required supporting information and attachments are not included, this application package will be returned to me as
incomplete.
NOTE — In accordance with General Statutes 143-215.6A and 143-215.613, any person who knowingly makes any false
statement, representation, or certification in any application package shall be guilty of a Class 2 misdemeanor, which may
include a fine not to exceed $ 10,000 as well as civil penalties up to $25,000 per violation.
4
Signature: Date:
FORM: FTA 04-16 Page 5 of 5

L'40' 4 MCKW&CRIEED Northeast Brunswick Regional Force Main Off -Site Transmission Improvements 1 inch = 2,000 feet
e:� Project Location Map

NORTHEAST BRUNSWICK REGIONAL FORCE MAIN
243 NORTH FRONT ST OFF -SITE TRANSMISSION IMPROVEMENTS
2AURINGTON, NORTH CAROUNA 28W
TUL FAX,��+o�251-8M2 USCS TOPOGRAPHIC MAP FIG 1
UCiNSE. F-9222